HENRY S. PARK (NPI# 1376572834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376572834 |
| Entity Type | Individual |
| Full Name | HENRY S. PARK |
| Credential | M.D. |
| Practice Address |
13000 Bruce B Downs Blvd Tampa FL 33612-4745 |
| Practice Telephone | 8139722000 |
| Mailing Telephone | 8139722000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 203918 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841328325 | Henry H Park | Acupuncturist | 5720 Buford Hwy Ste 205, Norcross, GA 30071-2574 | 2007-02-28 |
| 1881617785 | Henry Chul Park | Physical Medicine & Rehabilitation | 999 No Tustin Ave, #19, Santa Ana, CA 92705 | 2006-07-25 |
| 1083688147 | Henry Insuk Park | Dentist | 7611 Little River Tpke, Suite 106w, Annandale, VA 22003-2602 | 2006-02-15 |
| 1730441544 | Henry Soo-min Park | Radiology | 35 Park St, Smilow Cancer Hospital, Ll510, New Haven, CT 06519-1110 | 2012-06-08 |
| 1427219807 | Henry Park | Internal Medicine | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2008-06-19 |
| Street Address |
13000 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707244 | Shirly S Moonjeli | Family Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-06-01 |
| 1568063238 | Katelyn Panawash | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-08 |
| 1477154813 | Angela Andersen | Speech-Language Pathologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-03 |
| 1730780339 | Tamara Pasquel | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-02 |
| 1306445135 | James Mark Kaplan | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-22 |
| 1063011203 | Marina Lynn Leander | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-20 |
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1033725106 | Brighid M Rebolledo | Occupational Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-23 |
| 1447863345 | Emmanuella Armand | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-28 |
| 1982217238 | Julia Marie Lopez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1578927596 | Lombardi Institute of Dermatology | Dermatology | 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 | 2016-04-06 |
| 1275909806 | Dermatology Network of Florida, LLC | Dermatology | 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 | 2015-08-18 |
| 1225424740 | Lisa Marie Diaz | Dermatology | 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 | 2015-04-10 |
| 1053702134 | Robert R. Tawil | Dermatology | 3741 W Neptune St, Tampa, FL 33629-5118 | 2015-02-11 |
| 1013317460 | Scott Forrester Lindsey | Dermatology | 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 | 2014-09-03 |
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1619151479 | C Lance Kane Md Pa | Dermatology | 505 S Habana Ave, Tampa, FL 33609 | 2007-12-28 |
| 1730362112 | Amanda Brooke Sergay | Dermatology | 310 S Macdill Ave, Tampa, FL 33609-3142 | 2007-12-09 |
| 1649362112 | Gisela Torres-bonilla | Dermatology | 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 | 2006-09-29 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.